Post-Clavicle Fracture Fall: Should I Get an X-Ray Again?

Fall after a clavicle fracture?

Hello Doctor, I fractured my clavicle on December 24, 2015 (I underwent a self-funded plate fixation for the midshaft fracture, which was removed on December 8, 2016).
On January 5, 2017, I fell while riding my bike and impacted my left clavicle.
I visited an orthopedic specialist who examined me (no X-ray was taken) and noted that I could raise my arm, indicating that the clavicle was moving normally.
However, there is swelling and pain in certain positions, and the swelling increased significantly two days later.
Could this affect the bone? Should I schedule another appointment with an orthopedic specialist for an X-ray, or should I see a different department?

Shou, 0~9 year old female. Ask Date: 2017/01/07

Dr. Shi Guozheng reply Orthopedics

If it is a fracture, it will definitely be very painful.
If you're still concerned, you should get an X-ray to confirm.

Reply Date: 2017/01/07

More Info

After experiencing a fall that impacted your previously fractured clavicle, it is understandable to have concerns about the integrity of your bone and the potential for complications. Given your history of a clavicle fracture and subsequent surgical intervention, it is crucial to approach this situation with caution.

Firstly, it is important to recognize that swelling and pain following an injury can be indicative of various issues, including soft tissue injury, inflammation, or even a possible re-injury to the bone itself. While your doctor assessed your ability to move your arm and determined that there was no immediate concern based on that evaluation, the fact that you are experiencing increased swelling and pain in certain positions warrants further investigation.

In general, if there is any doubt about the condition of a previously fractured bone, especially after a fall, it is advisable to obtain an X-ray. An X-ray can provide valuable information regarding the status of the clavicle, including whether there are any new fractures, dislocations, or other complications such as malunion or nonunion of the previous fracture. Given that you have noticed an increase in swelling and pain, these symptoms could suggest that there may be an underlying issue that needs to be addressed.

In terms of which specialist to see, an orthopedic surgeon is the most appropriate choice for this type of injury. They specialize in the musculoskeletal system and can provide a comprehensive evaluation of your clavicle and shoulder. If you are experiencing significant pain or functional limitations, it is important to seek medical attention promptly.
In addition to the X-ray, the orthopedic surgeon may also consider other imaging modalities, such as an MRI, if they suspect soft tissue damage or if the X-ray results are inconclusive. They will also assess your range of motion, strength, and any other symptoms you may be experiencing to determine the best course of action.

In summary, given your history of clavicle fracture and the recent fall, it is prudent to get an X-ray to rule out any new injuries or complications. If you continue to experience swelling and pain, do not hesitate to follow up with an orthopedic specialist for a thorough evaluation and appropriate management. Early intervention can help prevent further complications and ensure a better recovery outcome.

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